﻿@{
    ViewBag.Title = "TraumaIndex";
}
<!DOCTYPE html>
<html>
<head>
    <meta name="viewport" content="width=device-width" />
    <title>硬膜外血肿</title>
    <link rel="stylesheet" href="~/Scripts/ligerUI/skins/Aqua/css/ligerui-all.css" />
    <link rel="stylesheet" href="~/Scripts/ligerUI/skins/ligerui-icons.css" />
    <link rel="stylesheet" href="~/Scripts/ligerUI/skins/Gray/css/all.css" />
    <link rel="stylesheet" href="~/Content/css/common.css" />
    <link rel="stylesheet" href="~/Scripts/laydate/theme/default/laydate.css" />
    <script src="~/Scripts/jquery-1.10.2.min.js"></script>
    <script src="~/Scripts/jquery.form.js"></script>
    <script src="~/Scripts/ligerUI/js/ligerui.all.js"></script>
    <script src="~/Scripts/laydate/laydate.js"></script>
    <script src="~/Scripts/LiftEffect.js"></script>
    <script src="~/Scripts/common.js?v=@DateTime.Now.ToString("yyyyMMdd")"></script>
    <script src="~/Areas/TraumaCenter/Scripts/Trauma.js?v=@DateTime.Now.ToString("yyyyMMddHHmmss")"></script>
    <style>
    body{overflow-x:auto;margin:5px;min-width:900px;}
	.radio_label{display:inline-block;width:auto;height:22px;background:url(/content/images/radiobutton.png) no-repeat;background-position:-13px -16px;text-indent:22px;line-height:22px;}
	.radio_label:hover{background-position:-13px -116px;}
	input[type=radio]{width:0;}
	.checkbox_label{display:inline-block;width:auto;height:22px;background:url(/content/images/checkboxbutton.png) no-repeat;background-position:-13px -16px;text-indent:22px;line-height:22px;}
	.checkbox_label:hover{background-position:-13px -116px;}
	.checked{background-position:-13px -216px;}
	.checked:hover{background-position:-13px -216px;}
	input[type=checkbox]{width:0;}
    </style>
</head>
<body>
    <form method="post" id="formSubmit">
        <div class="l-loading" style="display: none;" id="pageloading">
        </div>
        <div class="topPosition">
            <div style="float:left;font-size:13px;">
                <div style="float:left; margin-left:20px;" id="test">
                    @*手术类型：硬膜外血肿*@
                </div>
            </div>
            <div style="float:right;margin-right:10px;">
                <input type="hidden" id="txtPIId" value="" />
                <input type="hidden" id="txtAIId" value="" />
                <input type="hidden" id="txtPCId" value="" />
                <input type="hidden" id="txtPSId" value="" />
                <input id="btnHisback" type="button" value="返回" class="l-button" style="height:26px;" />
                <input id="btnTimeLine" type="button" value="时间轴" class="l-button" style="height:26px;" />
                <input id="btnTimePath" type="button" value="时间路径" class="l-button" style="height:26px;" />
                <input id="btnPrint" type="button" value="打印" class="l-button" style="height:26px;" />
                <input id="btnDel" type="button" value="删除" class="l-button" style="height:26px;" />
                <input id="btnUpdate" type="button" value="刷新" class="l-button" style="height:26px;" />
                <input id="btnSave" type="button" value="保存" class="l-button" style="height:26px;" />
            </div>
        </div>
        <div style="height:100%;">
            <div class="lift-nav">
                <ul class="lift">
                    <li>基本信息</li>
                    <li>入院评估</li>
                    <li>相关检查</li>
                    <li>相关治疗</li>
                    <li>康复治疗</li>
                    <li>健康教育</li>
                    <li>出院情况</li>
                </ul>
            </div>
            <div class="lift-target">
                <div class="t0" style="margin-top:55px;height:auto;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>基本信息</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">姓名：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtrealName" name="txtrealName" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    性别：
                                    <label><input type="radio" class="l-radio" name="rdogender" id="rdogender1" value="1" />男</label>
                                    <label><input type="radio" class="l-radio" name="rdogender" id="rdogender0" value="0" />女</label>
                                    <label><input type="radio" class="l-radio" name="rdogender" id="rdogender2" value="2" />未知性别</label>
                                    <label><input type="radio" class="l-radio" name="rdogender" id="rdogender3" value="3" />未说明性别</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">年龄：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtage" name="txtage" class="l-text" style="width:60px;" maxlength="3" typeof="number" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    民族： <input type="text" id="txtethnic" name="txtethnic" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    籍贯： <input type="text" id="txtJiGuan" name="txtJiGuan" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">联系方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtphone" name="txtphone" class="l-text" maxlength="11" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    药物过敏： <input type="text" id="txtoutDrug" name="txtoutDrug" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">住址：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtaddress" name="txtaddress" class="l-text" style="width:400px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">身份证：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label>
                                        <input type="checkbox" id="chkIsIDcard" />
                                        <input type="text" id="txtIDcard" name="txtIDcard" class="l-text" style="width:200px;" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">港澳台证：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label>
                                        <input type="checkbox" id="chkIsGangAoTai" />
                                        <input type="text" id="txtGangAoTaiNum" name="txtGangAoTaiNum" class="l-text" style="width:200px;" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">护照：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label>
                                        <input type="checkbox" id="chkIsHuZhao" />
                                        <input type="text" id="txtHuZhao" name="txtHuZhao" class="l-text" style="width:200px;" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">门诊号：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPatientId" name="txtPatientId" class="l-text" readonly="readonly" value="@ViewBag.patientId" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    抢救室接诊时间： <input type="text" id="txtmedicalTime" name="txtmedicalTime" class="l-text" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">神志：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtshenZhi" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                有无胸或腹部穿透伤：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtchuantou" />
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">PHI：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtPHI" name="txtPHI" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    <label><input type="radio" class="l-radio" name="rdoPhiRes" id="rdoPhiRes0" value="0" />绿色预警</label>
                                    <label><input type="radio" class="l-radio" name="rdoPhiRes" id="rdoPhiRes1" value="1" />黄色预警</label>
                                    <label><input type="radio" class="l-radio" name="rdoPhiRes" id="rdogender2" value="2" />红色预警</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">来院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType0" value="0" />本院急救车</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType1" value="1" />当地120</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType2" value="2" />外院转院-协作医院</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType3" value="3" />外院转院-非协作医院</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType4" value="4" />自行来院</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;display:none;">
                            <td style="width:130px; text-align: right;">入院途径：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType0" value="0" />急诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType1" value="1" />门诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType2" value="2" />其他医疗机构转入</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>

                <div class="t1" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>入院评估</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">身高(cm)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpheigh" name="txtpheigh" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体重(kg)： <input type="text" id="txtpweight" name="txtpweight" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    BMI(kg/㎡)： <input type="text" id="txtbmiVal" name="txtbmiVal" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">呼吸(次/分)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtbreath" name="txtbreath" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    收缩压(mmHg)：<input type="text" id="txtpssyVal" name="txtpssyVal" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    舒张压(mmHg)：<input type="text" id="txtpszyVal" name="txtpszyVal" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    MAP(mmHg)：<input type="text" id="txtMap" name="txtMap" class="l-text" readonly="readonly" style="width:70px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">脉搏(次/分)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpmbVal" name="txtpmbVal" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体温： <input type="text" id="txttemperature" name="txttemperature" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    休克指数： <input type="text" id="txtshock" name="txtshock" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">部位：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtbuWei" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                创伤类型：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtChuangshang" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                循环：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtxunHuan" />
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">意识：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtyiShi" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                呼吸：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtHuxi" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                TI评分：
                                            </div>
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;">
                                                <input type="text" id="txtTiScore" name="txtTiScore" class="l-text" />
                                            </div>
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">呼吸幅度：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtHXFD" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                毛细血管充盈：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtMXXGCY" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                血糖(mmol/L)：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtXueTang" name="txtXueTang" class="l-text" />
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">睁眼反应：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtzhenYan" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                言语反应：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtyanYu" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                运动反应：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtyunDong" />
                                        </td>

                                    </tr>
                                </table>
                            </td>
                        </tr> 
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">GCS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisGcs" id="comeinisGcs1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisGcs" id="comeinisGcs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisGcsYes">
                                    评分分数： <input type="text" id="txtcomeinGcs" name="txtcomeinGcs" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    TS评分：<input type="text" id="txtTsScore" name="txtTsScore" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">是否脑疝：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNs" id="rdocomeinisNs1" value="1" />是</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNs" id="rdocomeinisNs0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>

                <div class="t2" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>相关检查</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">首诊时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtfirstHTime" name="txtfirstHTime" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    完成采血时间： <input type="text" id="txtgetbloodTime" name="txtgetbloodTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">血常规：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    红细胞(10^12/L)：<input type="text" id="txtRBC" name="txtRBC" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    血红蛋白(g/L)：<input type="text" id="txtHB" name="txtHB" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    红细胞压积(%)：<input type="text" id="txtHCT" name="txtHCT" class="l-text" style="width:70px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    白细胞(10^9/L)：<input type="text" id="txtWBC" name="txtWBC" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    中性粒细胞(10^9/L)：<input type="text" id="txtNEUT" name="txtNEUT" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    血小板(10^9/L)：<input type="text" id="txtPLT" name="txtPLT" class="l-text" style="width:70px;" />
                                </div>
                            </td>
                        </tr>


                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">凝血常规：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    凝血酶原时间(S)：<input type="text" id="txtNXHYSJ" name="txtNXMYSJ" class="l-text" typeof="number" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    活化部分凝血活酶时间(S)：<input type="text" id="txtHHBFNXHMSJ" name="txtHHBFNXHMSJ" class="l-text" typeof="number" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    D-二聚体(mg/L)：<input type="text" id="txtDEJT" name="txtDEJT" class="l-text" style="width:70px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    PT活动度(%)：<input type="text" id="txtPTHDD" name="txtPTHDD" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    纤维蛋白原(g/L)：<input type="text" id="txtXWDBY" name="txtXWDBY" class="l-text" style="width:70px;" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    凝血酶时间(S)：<input type="text" id="txtNXMSJ" name="txtNXMSJ" class="l-text" typeof="number" style="width:70px;" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">肝炎标志物：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    乙肝：
                                    <label> <input class="l-radio" type="radio" name="rdoYiGan" id="rdoYiGan0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdoYiGan" id="rdoYiGan1" value="1" />阳性</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    丙肝：
                                    <label> <input class="l-radio" type="radio" name="rdoBingGan" id="rdoBingGan0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdoBingGan" id="rdoBingGan1" value="1" />阳性</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    戊肝：
                                    <label> <input class="l-radio" type="radio" name="rdoWuGan" id="rdoWuGan0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdoWuGan" id="rdoWuGan1" value="1" />阳性</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">血型：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    ABO：
                                    <label> <input class="l-radio" type="radio" name="rdoBloodType" id="rdoBloodType0" value="0" />A型</label>
                                    <label> <input class="l-radio" type="radio" name="rdoBloodType" id="rdoBloodType1" value="1" />B型</label>
                                    <label> <input class="l-radio" type="radio" name="rdoBloodType" id="rdoBloodType2" value="2" />AB型</label>
                                    <label> <input class="l-radio" type="radio" name="rdoBloodType" id="rdoBloodType3" value="3" />O型</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    RH：
                                    <label> <input class="l-radio" type="radio" name="rdobloodRh" id="rdobloodRh0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdobloodRh" id="rdobloodRh1" value="1" />阳性</label>
                                </div>
                            </td>
                        </tr>


                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">HIV：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoHIV" id="rdoHIV0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdoHIV" id="rdoHIV1" value="1" />阳性</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    TP：
                                    <label> <input class="l-radio" type="radio" name="rdoTP" id="rdoTP0" value="0" />阴性</label>
                                    <label> <input class="l-radio" type="radio" name="rdoTP" id="rdoTP1" value="1" />阳性</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display:none">
                            <td style="width:130px; text-align: right;">头颅X线：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoheadxline" id="rdoheadxline1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoheadxline" id="rdoheadxline0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoheadxlineYes">
                                    完成时间： <input type="text" id="txtheadxlineTime" name="txtheadxlineTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none">
                            <td style="width:130px; text-align: right;">胸部X线：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdochestxline" id="rdochestxline1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdochestxline" id="rdochestxline0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdochestxlineYes">
                                    完成时间： <input type="text" id="txtchestxlineTime" name="txtchestxlineTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none">
                            <td style="width:130px; text-align: right;">头颅CT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoishavecttime" id="rdoishavecttime1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishavecttime" id="rdoishavecttime0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishavecttimeYes">
                                    完成时间： <input type="text" id="txtheadctTime" name="txtheadctTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">通用检查：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    心电图：
                                    <label> <input class="l-radio" type="radio" name="rdoishaveecg" id="rdoishaveecg1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishaveecg" id="rdoishaveecg0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishaveecgYes">
                                    完成时间： <input type="text" id="txtecgTime" name="txtecgTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtecgResult" name="txtecgResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">X线：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoishavexxian" id="rdoishavexxian1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishavexxian" id="rdoishavexxian0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishaveecgYes">
                                    完成时间： <input type="text" id="txtxxianTime" name="txtxxianTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtxxianResult" name="txtxxianResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">B超：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoishaveBmode" id="rdoishaveBmode1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishaveBmode" id="rdoishaveBmode0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishaveBmodeYes">
                                    完成时间： <input type="text" id="txtBmodeTime" name="txtBmodeTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtBmodeResult" name="txtBmodeResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">CT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdoisCT" id="rdoisCT1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoisCT" id="rdoisCT0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoisCTYes">
                                    完成时间： <input type="text" id="txtCTTime" name="txtCTTime" class="l-text" />
                                </div> 
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtCTResult" name="txtCTResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>


                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">特殊检查：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    胸腔穿刺：
                                    <label> <input class="l-radio" type="radio" name="rdoishavexqcc" id="rdoishavexqcc1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishavexqcc" id="rdoishavexqcc0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishavexqccYes">
                                    完成时间： <input type="text" id="txtXQCCTime" name="txtXQCCTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtXQCCResult" name="txtXQCCResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    腹腔穿刺：
                                    <label> <input class="l-radio" type="radio" name="rdoishavefqcc" id="rdoishavefqcc1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishavefqcc" id="rdoishavefqcc0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdoishavefqccYes">
                                    完成时间： <input type="text" id="txtFQCCTime" name="txtFQCCTime" class="l-text" />
                                </div> 
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">报告结果：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtFQCCResult" name="txtFQCCResult" class="l-text" style="width:365px;" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">初步诊断：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtCBZD" name="txtCBZD" class="l-text" style="width:400px;" />
                                </div>
                            </td>
                        </tr>


                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">头颈部AIS：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txttjb" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                胸部AIS：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtxb" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                面部AIS：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtmb" />
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">腹部及盆腔AIS：</td>
                            <td>
                                <table>
                                    <tr>
                                        <td>
                                            <input type="text" id="txtfb" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                四肢及骨盆AIS：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txtsz" />
                                        </td>
                                        <td>
                                            <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                                体表AIS：
                                            </div>
                                        </td>
                                        <td>
                                            <input type="text" id="txttb" />
                                        </td>
                                    </tr>
                                </table>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">AIS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtAIS" name="txtAIS" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    ISS评分：<input type="text" id="txtISS" name="txtISS" class="l-text" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">诊断明确：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdodiagnosisOver" id="rdodiagnosisOver1" value="1" />是</label>
                                    <label> <input class="l-radio" type="radio" name="rdodiagnosisOver" id="rdodiagnosisOver0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdodiagnosisOverYes">
                                    明确诊断时间： <input type="text" id="txtdiagnosisOverTime" name="txtdiagnosisOverTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;display:none;">
                            <td style="width:130px; text-align: right;">头颅CT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    幕上血肿量(ml)：<input type="text" id="txtctupblood" name="txtctupblood" class="l-text" style="width:60px;" maxlength="3" />
                                    幕下血肿量(ml)：<input type="text" id="txtctdownblood" name="txtctdownblood" class="l-text" style="width:60px;" maxlength="3" />
                                    颞区血肿量(ml)：<input type="text" id="txtctareablood" name="txtctareablood" class="l-text" style="width:60px;" maxlength="3" />
                                    中线结构移位(cm)：<input type="text" id="txtctcenterLine" name="txtctcenterLine" class="l-text" style="width:60px;" maxlength="3" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none;">
                            <td style="width:130px; text-align: right;">头颅X线：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    头颅骨折：
                                    <label> <input class="l-radio" type="radio" name="rdoheadfracture" id="rdoheadfracture1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoheadfracture" id="rdoheadfracture0" value="0" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none;">
                            <td style="width:130px; text-align: right;">胸部X线：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    肋骨骨折：
                                    <label> <input class="l-radio" type="radio" name="rdoribfracture" id="rdoribfracture1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoribfracture" id="rdoribfracture0" value="0" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none;">
                            <td style="width:130px; text-align: right;">心电图：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    有无异常：
                                    <label> <input class="l-radio" type="radio" name="rdoishaveexcep" id="rdoishaveexcep1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishaveexcep" id="rdoishaveexcep0" value="0" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display: none;">
                            <td style="width:130px; text-align: right;">B超：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    胸腹腔积液(血)：
                                    <label> <input class="l-radio" type="radio" name="rdoishaveblood" id="rdoishaveblood1" value="1" />有</label>
                                    <label> <input class="l-radio" type="radio" name="rdoishaveblood" id="rdoishaveblood0" value="0" />无</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t3" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>相关治疗</h3>
                                <hr />
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">非手术治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    气管插管时间：
                                    <label>
                                        <input type="checkbox" id="chkIsQgcgsj" />
                                        <input type="text" id="txtqgcgTime" name="txtqgcgTime" class="l-text" typeof="datetime" data-chkid="chkIsQgcgsj" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    胸腔闭式引流时间：
                                    <label>
                                        <input type="checkbox" id="chkIsXqbsylsj" />
                                        <input type="text" id="txtxqbsylTime" name="txtxqbsylTime" class="l-text" typeof="datetime" data-chkid="chkIsXqbsylsj" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    备血时间：
                                    <label>
                                        <input type="checkbox" id="chkIsBxsj" />
                                        <input type="text" id="txtbxTime" name="txtbxTime" class="l-text" typeof="datetime" data-chkid="chkIsBxsj" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    输血时间：
                                    <label>
                                        <input type="checkbox" id="chkIsSxsj" />
                                        <input type="text" id="txtsxTime" name="txtsxTime" class="l-text" typeof="datetime" data-chkid="chkIsSxsj" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    颈托固定：
                                    <label>
                                        <input type="checkbox" id="chkIsJtgd" />
                                        <input type="text" id="txtjtgdTime" name="txtjtgdTime" class="l-text" typeof="datetime" data-chkid="chkIsJtgd" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    胸带固定：
                                    <label>
                                        <input type="checkbox" id="chkIsXdgd" />
                                        <input type="text" id="txtxdgdTime" name="txtxdgdTime" class="l-text" typeof="datetime" data-chkid="chkIsXdgd" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    骨盆固定：
                                    <label>
                                        <input type="checkbox" id="chkIsGpgd" />
                                        <input type="text" id="txtgpgdTime" name="txtgpgdTime" class="l-text" typeof="datetime" data-chkid="chkIsGpgd" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    牵引术：
                                    <label>
                                        <input type="checkbox" id="chkIsQys" />
                                        <input type="text" id="txtqysTime" name="txtqysTime" class="l-text" typeof="datetime" data-chkid="chkIsQys" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    离开抢救室时间：
                                    <label>
                                        <input type="checkbox" id="chkIsLkqjssj" />
                                        <input type="text" id="txtlkqjsTime" name="txtlkqjsTime" class="l-text" typeof="datetime" data-chkid="chkIsLkqjssj" />
                                    </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    其他：
                                    <input type="text" id="txtfsszlOther" name="txtfsszlOther" class="l-text" style="width:300px" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">手术治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    到手术室时间： <input type="text" id="txtarriveOpRoomTime" name="txtarriveOpRoomTime" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    麻醉时间： <input type="text" id="txtanaesTime" name="txtanaesTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    手术时间：<input type="text" id="txtdmlssopTime" name="txtdmlssopTime" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    手术结束时间： <input type="text" id="txtdmlssopEndTime" name="txtdmlssopEndTime" class="l-text" />
                                </div>

                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    申请输血时间：<input type="text" id="txtsqsxTime" name="txtsqsxTime" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    开始输血时间： <input type="text" id="txtkssxTime" name="txtkssxTime" class="l-text" />
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    手术名称：<input type="text" id="txtssmc" name="txtssmc" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    手术分级：
                                    <label> <input class="l-radio" type="radio" name="rdoshoushufenji" id="rdoshoushufenji0" value="0" />I级</label>
                                    <label> <input class="l-radio" type="radio" name="rdoshoushufenji" id="rdoshoushufenji1" value="1" />II级</label>
                                    <label> <input class="l-radio" type="radio" name="rdoshoushufenji" id="rdoshoushufenji2" value="2" />III级</label>
                                    <label> <input class="l-radio" type="radio" name="rdoshoushufenji" id="rdoshoushufenji3" value="3" />IV级</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    术后去向：<input type="text" id="txtshqx" name="txtshqx" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px; margin-left:27px">
                                    拆线时间： <input type="text" id="txtbreaklineTime" name="txtbreaklineTime" class="l-text" />
                                </div>
                            </td>
                        </tr>



                    </table>
                </div>



                <div class="t4" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>康复治疗</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">接受康复治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmliskfzl" id="rdolndmliskfzl1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmliskfzl" id="rdolndmliskfzl0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmliskfzlYes1">
                            <td style="width:130px; text-align: right;">康复治疗方式：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px; ">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType0" value="0" />传统康复(针灸/推拿)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType1" value="1" />运动疗法(PT)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType2" value="2" />作业疗法(OT)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType3" value="3" />言语训练(ST)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlType" id="cbxlndmlkfzlType4" value="4" />其他(认知训练/吞咽治疗/心理治疗/理疗)</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmliskfzlYes2">
                            <td style="width:130px; text-align: right;">康复治疗场所：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlAddr" id="cbxlndmlkfzlAddr0" value="0" />床旁</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlkfzlAddr" id="cbxlndmlkfzlAddr1" value="1" />康复科</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t5" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>健康教育</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">健康宣教：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlheathisxj" id="rdolndmlheathisxj1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlheathisxj" id="rdolndmlheathisxj0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlheathisxjYes">
                                    宣教方式：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType0" value="0" />集体病区教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType1" value="1" />一对一教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlheathxjType" id="cbxlndmlheathxjType2" value="2" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t6" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>出院情况</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlndmlexitPtime" name="txtlndmlexitPtime" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    抢救室滞留时间(小时)：<input type="text" id="txtqjszlsj" name="txtqjszlsj" class="l-text" style="width:70px" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    手术次数：<input type="text" id="txtshoushucishu" name="txtshoushucishu" class="l-text" style="width:70px" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">重症监护室：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdozzjhs" id="rdozzjhs1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdozzjhs" id="rdozzjhs0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    重症监护室(天)：<input type="text" id="txtzzjhsdays" name="txtzzjhsdays" class="l-text" style="width:70px" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">呼吸机应用：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdohuxijiyingyong" id="rdohuxijiyingyong1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdohuxijiyingyong" id="rdohuxijiyingyong0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    应用时间(天)：<input type="text" id="txthxjyydays" name="txthxjyydays" class="l-text" style="width:70px" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">离院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType0" value="0" />医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType1" value="1" />医嘱转院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType2" value="2" />医嘱转社区服务机构/乡镇卫生院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType3" value="3" />非医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType4" value="4" />死亡</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitPType" id="rdolndmlexitPType5" value="5" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display:none;" id="divlytypeother">
                            <td style="width:130px; text-align: right;">离院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtHospOutTypeOther" name="txtHospOutTypeOther" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmlexitPTypeYes1">
                            <td style="width:130px; text-align: right;">死亡时间：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <input type="text" id="txtlndmldieTime" name="txtlndmldieTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolndmlexitPTypeYes2">
                            <td style="width:130px; text-align: right;">死亡原因：</td>
                            <td style="width:1143px">
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason0" value="0" />呼吸循环衰竭</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason1" value="1" />脑血管病</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason2" value="2" />肺部感染</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason3" value="3" />上消化道出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason4" value="4" />急性肾功能衰竭</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason5" value="5" />损伤和中毒</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason6" value="6" />不详</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmldieReason" id="cbxlndmldieReason7" value="7" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px; display:none;" id="divqitaswyy">
                            <td style="width:130px; text-align: right;">其他死亡原因：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtqitasiwangyy" name="txtqitasiwangyy" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">预后GCS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisGcs" id="rdolndmlexitisGcs1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdolndmlexitisGcs" id="rdolndmlexitisGcs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdolndmlexitisGcsYes">
                                    评分：<input type="text" id="txtlndmlexitGcs" name="txtlndmlexitGcs" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:130px; text-align: right;">出院带药：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy0" value="0" />降压药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy1" value="1" />降糖药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy2" value="2" />调脂药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy3" value="3" />抗凝药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy4" value="4" />抗血小板药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy5" value="5" />中药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlndmlexitpwithy" id="cbxlndmlexitpwithy7" value="7" />无</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
            </div>
        </div>
    </form>
</body>
</html>